Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 221799 | LA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 221799 | LA |
NPI | 1144996489 |
---|---|
Provider Name | Felicia S Jones |
First Address | Baton Rouge, LA 70806-8931 |
Second Address | Baton Rouge, LA 70806-8931 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2021 |
Last Update Date | 20/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
221799 | (05) | LA |